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[Remote] Provider Management Analyst II

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. CERIS, a division of CorVel Corporation, is dedicated to accuracy and transparency in healthcare payments. The Provider Management Analyst is responsible for verifying provider information and ensuring proper documentation for auditing claims.

Responsibilities

  • Communicate with respective leadership on any issues or problems identified
  • Maintain production standards, production requirements, and quality of work
  • Assist coworkers, supervisor, or management to accomplish product goals; report potential issues in a proactive manner
  • Timely forward misdirected requests to the correct recipient
  • Ensure strict confidentiality of all medical records, PHI, and PII
  • Outbound calling may be needed
  • Additional duties as assigned

Skills

  • High School Diploma or equivalent required
  • Demonstrated knowledge of office experience
  • Ability to work independently
  • Strong organization skills
  • Strong analytical and problem-solving skills
  • Excellent attention to detail
  • Ability to deliver results in a timely manner
  • MS Office including Word, Excel, and Outlook; Windows operating system
  • Outbound call experience

Benefits

  • Medical (HDHP) w/Pharmacy
  • Dental
  • Vision
  • Long Term Disability
  • Health Savings Account
  • Flexible Spending Account Options
  • Life Insurance
  • Accident Insurance
  • Critical Illness Insurance
  • Pre-paid Legal Insurance
  • Parking and Transit FSA accounts
  • 401K
  • ROTH 401K
  • Paid time off

Company Overview

  • CERiS is a company that detects and resolves payment issues for health claims. It was founded in 1990, and is headquartered in Fort Worth, Texas, USA, with a workforce of 501-1000 employees. Its website is https://www.ceris.com/.
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